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題名 | Role of Abbe Flap in Treatment of Secondary Cleft Lip Deformity=對二次性唇裂畸型使用交唇皮瓣手術在動力學上的效應 |
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作者 | 陳明庭; 孫宗伯; 楊永健; | 書刊名 | 中華民國重建整形外科醫學會雜誌 |
卷期 | 6:2 1997.06[民86.06] |
頁次 | 頁73-78 |
分類號 | 416.413 |
關鍵詞 | 二次性唇裂畸型; 交唇皮瓣手術; 動力學; Abbe flap; Tight upper lip; Secondary cleft lip deformity; Early treatment; |
語文 | 英文(English) |
中文摘要 | 用交唇皮瓣來治療上唇緊縮一直都是被認為最有效的方法,而於1898年首先由Robert Abbe 發明的。他是用來校正雙側性唇裂之二次性畸型。其他的應用可及二次性唇外傷畸型,唇之腫瘤切除,或其他先天性畸型之重建來用。在唇顎裂的病例上在其繼續治療的過程中如發現有二次性上唇緊縮時,應隨時考慮用此法來治療。自 1982 到 1993 年間在臺大醫院我們用交唇皮瓣來治療 30 例的二次性唇裂畸型引起的上唇緊縮而得到很滿意的效果, 平均住院日為 3.9 天,第二次皮瓣切斷於門診施行其結果均有非常良好的美容及功能效果。過去交唇皮瓣手術的規範比較嚴格,均局限在很嚴重的上唇緊縮病人才施行,但我們強調應更開放的、早期看到上唇開使用後縮即須進行手術。如此更可預防上唇之繼續後縮的效果。而可避免複雜的上顎骨 Le Fort I 型骨前移手術。 |
英文摘要 | ry retrusion been observed the Abbe flap should be considered imediately. This is usually start to be found somewhere around 5 years of age. Its advantages include tissue similarity, spontanous reinnervation, low lip reduction and anatomical landmark sparing. From 1982 to 1993 there were 30 Abbe flaps, 23 female patients and 7 male patients, been performed in National Taiwan University Hospital, all of them were due to secondary cleft deformities. The oldest case was a 38-year-old female and the youngest was a 7-year-old male. The average hospitalized day was 3.9 days (2 to 6 days). The pedicle of flap was divided 2 weeks after the flap was placed under local anesthesia. The post-operative results were satisfactory both cosmetically and functionally. The Abbe flap was a relative simple procedure. We strongly believe a lot of maxillary retrusion of secondary cleft lip deformities are due to tight upper lip, and early release of tight upper lip can prevent from further progress of maxillary retrusion. For those older patient, cosmetic gain and functional restoration are still worthwhile for the procedure. |
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